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MedPAC votes 14-2 to junk MIPS, providers angered

MedPAC votes 14-2 to junk MIPS, providers angered

By Virgil Dickson  |  January 11, 2018

An influential policy organization that advises Congress on Medicare issues has voted to repeal and replace MIPS under MACRA. Providers immediately criticized the move to end the program and what the panel wants to replace it with.

Report finds Medicare willing to pay for primary care in new ways

Report finds Medicare willing to pay for primary care in new ways

By Tara Bannow  |  December 07, 2017

Medicare is increasingly willing to pay primary-care physicians to manage complex patients using new billing codes and demonstration projects, which a new Urban Institute report says may narrow the pay gap between primary-care physicians and specialists.

Having that talk about money with patients

Having that talk about money with patients

By Dave Barkholz  |  September 30, 2017

With high-deductible insurance generally requiring patients these days to pay for all care until June, hospitals are relying on revenue-cycle cost estimators to have frank payment conversations with patients before treatment.

CMS looks to launch behavioral health pay model

CMS looks to launch behavioral health pay model

By Virgil Dickson  |  July 20, 2017

The CMS is interested in launching a new pay model that will target behavioral health services and is seeking public comment on what the new effort should look like. The announcement comes at a time when agency officials say they are still committed to value-based care.

Health systems see returns on risk-based reimbursement

Health systems see returns on risk-based reimbursement

By Alex Kacik  |  July 15, 2017

Despite a broad push to provide healthcare that emphasizes value over volume, health systems still largely rely on a fee-for-service model as they gradually take on more financial risk through new payment methods.

Editorial: How to keep payment reform moving ahead

Editorial: How to keep payment reform moving ahead

By Merrill Goozner  |  July 07, 2017

The only silver lining in the massive storm cloud hovering over the Affordable Care Act is the persistence of bipartisan support for payment reforms aimed at improving healthcare quality and lowering its cost.

Six months into MACRA rollout, docs are still unprepared

Six months into MACRA rollout, docs are still unprepared

By Virgil Dickson  |  June 28, 2017

The majority of medical practice leaders still are not ready to comply with the Medicare Access and CHIP Reauthorization Act, more than halfway through the first year of its rollout, according to a survey.

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